NPI | 1972751147 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL CEPIN Owner 619-482-0300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA G52521) |
Enumeration Date | 2008-08-29 |
Last Update Date | 2008-08-29 |